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Nursing home report

Pine Creek Rehabilitation and Nursing

Salt Lake City, UT · Medicare-certified · 34 beds

Needs attention
Abuse citationFor-profit
2 of 5 overall

Pine Creek Rehabilitation and Nursing has an overall rating of 2 out of 5 stars, with 2 stars for health inspections and 1 star for staffing, even though its quality measures are 5 stars. It reports 3.0 nursing hours per resident per day versus the 4.1 federal benchmark, had $56,121 in fines in the last 24 months, and has a recent abuse citation.

Facility ratings

Health inspections

Staffing

3.0021 hrs/resident/day

Quality measures

Last inspection: October 9, 2025Penalties, last 24 months: $56,121recent abuse citation

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.0021.

Staffing detail

Registered nurses
0.59
Licensed practical nurses
0.58
Nurse aides
1.83
Weekend nursing
2.70

Hours per resident per day.

Total staff turnover: 79%
Registered nurse turnover: 73%

Resident outcomes

How often residents experience these outcomes, with the direction over the past year.

Long-stay residents on antipsychotic medication

46.8%Steady

Residents with a fall causing major injury

0%Steady

Residents with pressure ulcers (bedsores)

0%Steady

Residents with a urinary tract infection

3.5%Improving

Residents who lost too much weight

2.9%Worsening

Residents who were physically restrained

0%Steady

Residents needing more help with daily activities

3.9%Improving

Residents whose ability to walk got worse

4%Improving
Show all measures

Long-stay residents on antianxiety or sleep medication

31.1%Improving

Residents with a long-term catheter

0%Steady

Residents with new or worsening incontinence

19.7%Improving

Residents with depressive symptoms

69.2%Improving

Long-stay residents given the seasonal flu vaccine

100%Steady

Long-stay residents given the pneumonia vaccine

91.4%Worsening

Short-stay residents given the pneumonia vaccine

93.5%Steady

What the inspectors found

The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited October 2024 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 684 — 42 CFR §483.25 — S/S: J

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited October 2024 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 689 — 42 CFR §483.25(d) — S/S: J

The nursing home failed to ensure residents received the behavioral health care and services they needed. Cited October 2024 — isolated incident, actual harm.

View the original federal record

F-Tag 740 — 42 CFR §483.40 — S/S: G

The home failed to have a registered nurse on duty enough hours each day and to keep a registered nurse as the full-time director of nursing. Cited October 2025 — widespread issue, potential for harm.

View the original federal record

F-Tag 727 — 42 CFR §483.35 — S/S: F

The nursing home failed to provide the required notice or documentation about a resident’s needs, appeal rights, or bed-hold policy. Cited October 2025 — limited pattern, potential for harm.

View the original federal record

F-Tag 628 — 42 CFR §483.15(c)(2) — S/S: E

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 6 health deficiencies.

    See what inspectors found
  3. PENALTY

    A federal payment denial was recorded.

  4. PENALTY

    A federal fine of $56,121 was recorded.

  5. INSPECTION

    Health inspection found 28 health deficiencies.

    See what inspectors found
  6. INSPECTION

    Health inspection found 7 health deficiencies.

    See what inspectors found

Penalties & enforcement

On record with Medicare: 1 fine · $56,121 in total fines · 1 payment denial.

  • Medicare/Medicaid payment denial

    Oct 3, 2024

    5 days
  • Federal fine

    Oct 3, 2024

    $56,121

Operator & ownership

Ownership
For profit - Corporation
Occupancy
27.5 residents on an average day (81% of 34 beds)
Resident voice
Resident council
Medicare history
Certified for 34 years

Things at a nursing home change — inspections, staffing, ownership, news.

Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.